Individual
SAMANTHA KILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 HELENA LN, WINDSOR LOCKS, CT 06096-2110
(860) 817-8569
Mailing address
3 HELENA LN, WINDSOR LOCKS, CT 06096-2110
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1363
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/29/2017
Last updated
07/14/2021
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